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Medical Assistant

Unit 1 Review (Chapters 1-4)

QuestionAnswer
Ambulatory care Healthcare provided on an outpatient basis; patients are not admitted overnight.
Administrative tasks (MA) Office and front-desk duties such as scheduling, billing, and managing records.
Clinical tasks (MA) Hands-on patient care duties such as taking vitals, drawing blood, and assisting with exams.
Home health agency An organization that provides care to patients in their own homes; tends to involve monitoring and testing tasks for MAs.
Licensed vocational nurse (LVN) A healthcare team member who shares many duties with MAs but typically does not perform administrative tasks or administer medications.
Patient care technician (PCT) A team member whose duties overlap with MAs but who usually does not do administrative tasks or give medications.
EKG technician A specialist who performs electrocardiograms; duties are narrower than an MA's.
Mid-level provider A provider such as a nurse practitioner or physician assistant; has prescribing and diagnostic authority beyond an MA.
Scope of practice The responsibilities that fall within the knowledge, training, and legal definition of a profession.
Job description A document listing the specific duties and expectations of a particular position at a particular employer.
Chain of command The facility's hierarchy of reporting; concerns about coworkers or policies should be raised through this channel.
Delegation limits The boundaries that determine which tasks may be legally and safely assigned to a given worker.
Patient-centered medical home (PCMH) A care model that coordinates the care a patient receives from multiple providers.
Personability A friendly, approachable manner; one of the characteristics of professionalism.
Honesty Telling the truth, including reporting one's own mistakes — a key characteristic of professionalism.
Empathy The ability to understand and share the feelings of another person.
Discretion Careful judgment about what to say or do, including protecting patient privacy.
MA certification A credential awarded after completing a medical assisting course AND passing a certification exam.
Work-experience pathway (MA certification) In some cases, prior work experience as an MA may be accepted in place of a formal training course.
Ethics Standards of conduct that describe what people should do; based on values rather than enforceable rules.
Law Enforceable rules that tell people what they must (or must not) do.
Hippocratic Oath An ancient code of ethics historically sworn by physicians; an example of a professional code of ethics.
Patient Care Partnership The document that replaced the American Hospital Association's 'Statement on a Patient's Bill of Rights.'
Dying Person's Bill of Rights A document outlining the rights of patients near the end of life.
Affordable Care Act (ACA) U.S. healthcare reform law; not a patient-rights document.
Informed consent (research) Requires the provider to give a detailed explanation of a research study and disclose possible risks before a patient participates.
Patient Self-Determination Act (PSDA) Federal law requiring facilities to inform patients about advance directives.
Advance directive A written document stating a patient's wishes for future healthcare, including end-of-life care.
DNR (Do Not Resuscitate) order A written provider order instructing that CPR should not be performed if the patient stops breathing or has no pulse.
Preferred name and pronouns The name and pronouns a patient asks to be addressed by; MAs must use them.
HIPAA Federal law that keeps patients' health information private and secure.
Discretion (workplace) Keeping patient information confidential; not sharing details about who you treat with friends or on social media.
Civil law Law dealing with disputes between individuals; violations are called torts.
Tort A violation of civil law (for example, malpractice or negligence).
Crime A violation of criminal law.
Infraction A minor violation of law, typically not classified as a tort or crime.
Patient abandonment Withdrawal of care from a patient without proper notice or referral; potentially illegal.
Slander Spoken false statements that harm a person's reputation.
Libel Written or published false statements that harm a person's reputation.
Malpractice Professional negligence — failure to provide the standard of care.
Standard of care The level and type of care a reasonably prudent provider would give in the same circumstances.
Good Samaritan laws State laws that protect people who voluntarily give emergency care from being sued for ordinary negligence.
Plaintiff The person who brings a lawsuit.
Defendant The person being sued or accused.
Arbiter A person appointed to settle a dispute; not a party to the lawsuit.
Mediator A neutral person who helps disputing parties reach agreement.
Res ipsa loquitur 'The thing speaks for itself' — evidence (such as an unexpected injury after a procedure) that implies negligence occurred.
Respondeat superior 'Let the master answer' — the principle that an employer may be held responsible for an employee's actions on the job.
Subpoena ad testificandum A court order requiring a person to appear and testify.
Subpoena duces tecum A court order requiring a person to bring specific documents or records to court.
Implied consent Consent assumed in emergencies when the patient cannot express it (e.g., an unconscious patient needing life-saving care).
Express consent Consent given clearly, verbally or in writing, for a specific procedure or treatment.
General consent form A form signed at intake that covers routine care; the patient can still refuse any specific care.
Mature minor A minor who may consent to some routine healthcare decisions (such as vaccines or birth control) without a parent.
Emancipated minor A minor who is legally independent and can make all of their own healthcare decisions.
Wound of violence An injury in which the patient's story is inconsistent with the injury; must be reported.
Conflict of interest A situation in which a personal or financial relationship could affect professional judgment (e.g., referring patients to a spouse's practice without disclosure).
Mandatory reporting Legal requirement to report suspected abuse; reports must be made immediately, regardless of consent.
Incident report An internal facility document describing an unexpected event; used to improve quality and safety — NOT to assign blame or hide details.
Workers' compensation report A report filed when an employee is injured on the job, in addition to the facility's incident report.
Communication process A sender forms a message, sends it, the receiver receives it, and then provides feedback.
Feedback The receiver's response that lets the sender know the message was understood.
Verbal communication Communication using spoken or written words.
Nonverbal communication Communication through facial expressions, body language, posture, and tone — which can contradict what a person says.
Therapeutic communication Techniques that help patients feel heard and safe enough to share information.
Bias (in healthcare) Pre-judging patients based on assumptions; can result in unequal documentation or treatment.
Cultural diversity Differences among patients in culture, income, education, age, beliefs, and practices.
Language services Interpretation or translation services used to make sure patients understand their care.
Eye contact (cultural) A nonverbal cue that varies by culture; MAs should adjust their approach based on the patient's comfort.
Hearing accommodation Communicating clearly, slowly, and face-to-face with patients who have a mild hearing impairment (NOT shouting).
Visual impairment accommodation Speak first and identify yourself before touching a patient who is blind.
Mental health disorder communication Use a normal tone of voice — not sing-song, commanding, or passive — when speaking to these patients.
Cognitive impairment (Alzheimer's) Patients may repeat questions; respond each time using the same words and phrases for consistency.
Pediatric communication Speak honestly with children in age-appropriate language; don't shame them or promise it won't hurt at all.
Intellectual disability (communication) Treat the patient as an adult; do not assume they cannot understand their own care.
Aggressive communication Hostile, dominating, or threatening speech — unprofessional and damaging to the team.
Assertive communication Clear, respectful expression of concerns — the professional standard.
Passive communication Avoiding conflict by not expressing needs or concerns; can lead to misunderstandings.
Slander (verbal abuse case) Spoken false statements harmful to reputation; may also describe hostile verbal exchanges in the workplace.
Sign (clinical) An objective indicator that the observer can see or measure (e.g., fever, pale skin, damp skin).
Symptom (clinical) A subjective feeling reported by the patient (e.g., headache, lightheadedness, sinus pressure).
Objective reporting Reporting exactly what was observed or what the patient said — without the MA's interpretation or diagnosis.
Maslow's hierarchy of needs A pyramid ranking physiological needs (lowest), then safety, love/belonging, esteem, and self-actualization (highest).
Physiological need Basic survival need such as food, water, sleep, and freedom from pain.
Psychosocial factors Social, emotional, and psychological influences (such as stress or loneliness) that can affect physical health.
Erikson's stages of psychosocial development A theory holding that each life stage involves a crisis that must be resolved (e.g., trust vs. mistrust in infancy).
Freud's theory of development A psychosexual theory of development focused on early childhood stages.
Kübler-Ross stages of grief Five stages — denial, anger, bargaining, depression, acceptance — that people may experience with loss or terminal illness.
Developmental disability A disability that may be present at birth or emerge up to age 22.
Intellectual disability Below-average intellectual functioning that affects daily and adaptive skills.
Down syndrome A genetic condition associated with characteristic physical features and varying levels of intellectual disability.
Cerebral palsy A developmental disability affecting movement, muscle coordination, and sometimes speech.
Autism spectrum disorder A developmental disability that may include discomfort with eye contact and repetitive body movements.
Mental health A state of well-being marked by the ability to adapt to change, cope with stress, and contribute to community.
Stress response (body) The body's reaction to stress, including increased adrenaline and heart rate.
Stress tolerance An individual's ability to manage stress; varies from person to person.
Defense mechanism An unconscious psychological strategy used to protect the ego from anxiety.
Displacement Redirecting feelings from the real source to a safer target (e.g., being angry at staff after a bad diagnosis).
Rationalization Creating acceptable explanations for unacceptable feelings or behaviors.
Regression Returning to behaviors of an earlier developmental stage (e.g., an anxious teen sucking a baby blanket).
Projection Attributing one's own unacceptable feelings to someone else.
Chemical dependency A physiological need for a substance; may require diagnosis and care by specialists.
Addiction A compulsive need for and use of a substance despite harm; not the same as substance abuse and not a willpower problem.
Bipolar disorder A mental health disorder involving extreme shifts between manic and depressive moods.
Social anxiety disorder Intense fear of social situations.
Posttraumatic stress disorder (PTSD) Symptoms following trauma: anger, irritability, being easily startled, and difficulty sleeping.
Generalized anxiety disorder (GAD) Ongoing, excessive worry about many things.
Obsessive-compulsive disorder (OCD) Recurring unwanted thoughts (obsessions) and repetitive behaviors (compulsions) performed to ease anxiety.
Schizophrenia A serious mental health disorder that affects how a person thinks, feels, and behaves.
Major depressive disorder Persistent feelings of sadness and loss of interest that interfere with daily life.
Mental health treatment Most mental health disorders are treated with a combination of medication and therapy.
Stigma (mental health) Negative attitudes that can prevent patients from seeking help; MAs should reduce stigma through supportive, non-judgmental care.
Created by: PJohnson85
 

 



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